Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649576497 Individual Practitioner Female Practitioner

Breanna L Bacon , MS CCC-SLP

Speech-Language Pathologist • Lafayette, IN

Professional Overview & Biography Verified Profile Summary

Breanna Bacon, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Lafayette, IN. Practice services are available at 80 PROFESSIONAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

80 Professional Ct

Lafayette, IN 479055152

Telephone 7654481758
Fax 7654483898
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Lafayette, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.8 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
68 Specialists

Practicing in Lafayette, IN (3038 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License IN 46002126A

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Indiana Professional Licensing Agency
2205442A (IN)
Commercial Insurance / Payer ID In Cf License
46002126A (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Seairah Delaney , BCBA

Behavior Analyst

NPI 1043999048

Board Certified Behavior Analyst

Bindi Baker

Behavior Technician

NPI 1063392454
Elizabeth Mercier

Behavior Technician

NPI 1073324869
Katelynn Linedecker

Behavior Technician

NPI 1073491908
Courtney Horvath

Behavior Technician

NPI 1083425862
Anna-Beth Haas

Behavior Technician

NPI 1093526873

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2014

Registered at 80 PROFESSIONAL CT, LAFAYETTE, IN 479055152 (Tel: 7654481758)

📍
Updated Business Mailing Address July 07, 2014

Registered at 80 PROFESSIONAL CT, LAFAYETTE, IN 479055152 (Tel: 7654481758)

👤
Provider Name / Credentials Updated July 07, 2014

Recorded as BREANNA BACON, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Speech-Language Pathologist (License #46002126A in IN)

🟢
Initial NPI Registration & Enumeration January 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649576497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2011
Last Update: July 07, 2014
Sole Proprietor: No

Mailing Address

80 Professional Ct

Lafayette, IN 479055152

Phone: 7654481758

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.